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Home My WebLink AboutBLD2007-00502 416UILDING PERMIT APPLICAAON BLD07-00502 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00502 Received Date: 9/14/2007 SITE ADDRESS: 74 BAYVIEW LN PORT TOWNSEND, 98368 OWNER: HOWARD W PEVEHOUSE TRTEE PHONE: 360-344-3316 YOSHIE E PEVEHOUSE TRTEE 74 BAYVIEW LN PORT TOWNSEND WA 983689617 DISCOVERY BAY HEIGHTS DIV 1 SUBDIVISION: Block: Lot: PARCEL NUMBER: 947300024 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: (360) 452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NO MLA REQ'D - NEW CHIMNEY CHASE &WOODFIRE PLACE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,886.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: -l / —1e?5 Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 CJZ 09/14/07 93223 Plan Check $117.81 CJZ 09/14/07 93223 APPROV EL'. State Building Code $4.50 CJZ 09/14/07 93223 Total: $303.56 SEP I 2007 Jefferson County Planning &Biding Department Jefferson County Building DiTi'ision Permit Null BLD07-00502 Applicant: PEVEHOUSE TRTEE BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Framing ►) 6-772 _� Heat/Chimney Clearance i67.-31.-or7 .r- r _ Fireplace Insert 7/�4/D - ,.Q1i FINAL INSPECTION 1/' r tHaw' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR . ! CONDITIONS for Building Permit# : ozv riti&4c JEFFERSOOOUNTY • r-. ------ ` .' DEPARTMENT OF COMMUNITY DEVELOPMENT !C� �� ,� 1 U L L_Wga IF' ` `� 621 Sheridan Street • Port Townsend •Washington 98368 -� 360/379-4450 • 360/379-4451 Fax Is, O� www.co.jefferson.wa.us/commdevelopment I L .� SEP 1 4 NO alil Master Permit Application ML : NO tp. Pcoft:td Project Descriptionx' (include separate sheets as necessary): ye-w Ft r&pLq_CE , h e-c ) G ii-1 44.NE Li C 114-5-E Tax Parcel U Property Number: I Li 7 3 t G C 9 roS Size: (acres/square feet) Site Address and/or Directions to Property: 7/1 /3,a i V i 6-c..) L.A-) I o,2+ 11 vc-v v' 4 ti C w'} `7.3 h` "CA-F F iu , v aiS(v�. f-i ./ t y ifF,6ifTS; Ov ,Di scOV(t27 t2d. 3/4 114 ,L.& u-.(-`;T 0i= FoL,c^ G,,2NF r2S `ACC rF 2c,) Property Owner(s)of Record:/- ve.i+cv.;( Ti2vsT) /fow4,2ci w 1-- yos AL/e f-)6vcHOO`›E T,2v5TE(S Telephone: 360 3 q4/ 3 3 i 4 Fax: email://exuF,;L I.jet 614,SPvcc e (c,i Mailing Address: '711 84yv ifw is Ail Poi } %a,u-vsEv1-1t t vg ci g;4.sc Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE , . ,_ _, Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his, her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic tion that he r she want or notic . Signature: `- C`u(.1S/2�o (A.,// Date:_____7_ 7 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development;Coc e Applicant acknowledges that he,she or it holds individual and non-transfer ble responsibility for adhering to andg complying with'The ESA. The pplicant has read this disclaimer and signs and dates it below. Signature: c-e_Zc 2 C- �� eI'- �,. Date: S%//„V O 7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • orBUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsjbility of the General Contractor for the proposed project. Signature:`fj�cx.s-'6.-' 6. i6- Date: CO2/Q7 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: t V(/tL IVA'1 NU er2T1- /' HOW. (. 60) 11s S 36 L, (Apo) 14S,,1 3-SC,3-SC, 7 MAILING ADDRESS: rs 7 /S 1 /1ayy ,Cll r)oKfANc etec whz EMAIL' FuFIL'VI,av1 �``yj)'.v, (6/1 CONTRACTOR'S LICENSE , WAINS NUMBER: E V F/\ W J-, 0 g5 i L NUMBER ARCHITECT/ENGINEER: 76/2k y Ail C C,}2T6/E y PHONE (3(yO )(/S) -3 6 6 FAX: (34,0) ..5 '3 e./ MAILING ADDRESS: 5 7 1 5 / pr.i.0�I 1 O I J t�,c'><-Ary jfL.,( j t EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: L] Sewer 6( Addition ❑ Steel Proposed: Bank LI Community System Li Alteration/Remodel ❑ Concrete Total: Height: I1 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: D_ i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove Fireplac Insert i Hot Water Tank i Pellet Stove i Oth r Is this appliance being installed in a Manufactured/Mobile Home? Yes /) When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: ,' -/Ob ; 70 C NA- 2"0 Floor Heated Consistency Review: NI ^ Other Heated Base fee: 1,2 pt aS Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 1. Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 30 .56 Decks 911/Rd Approach fee: Other TOTAL: $ I � C I ' lp�;�-�be�.r--,, �3a�3 DiCas'h/�hec�t�lumber: '�4 ES ATED COST(REQUIRED) [lollaati, at �+ air market value of all labor and materials fo datior ;1 4 1 U v`I (1-‘1_01 % ?U 1 I Initials: C2ZC l ,:;CUNTY otr. _ gY DEVELOPMENT G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 4W- I) - -. 0 C- T,• rn .... _, ITY. , .4 * 13 - > u'.• ' 73 ; M 7.7.-7) '•., 4t is ...c. . .. , _ ::I t.'7-/ -7i 4 •C M c cr 2 --1_ 0 ' rN Cn a-, E E 0 0, -,, \ , ..), , C . (r. : en. " ..- .1 0 r- m , _ C- r --t co . . 0 - 'T\ 0 U . - ., ,I.. l . - , !! , — (T ! r-i` \J f• -.) L 1 ..:11 1 1 ..,.. z u fs. M ) 41 > fr. Eg,) c 0 -1) '-'‘ Z • ° Z M _ G z E M t X 0 0 , 7J . E 8 , 4 z , IT! i x z (A a\ t, N/ tki * , _ -c 2 -.. -c 0 tiv ., uv - ...., . . •